Aging (I): Difference of Cognitive Function Related to Living Condition of the Aged

노화 (I): 생활환경이 다른 노인군간 인지기능의 차이

  • Kang, Hae-Kyung (Department of Food and Nutrition, Ewha Womans University)
  • 강혜경 (이화여자대학교 식품영양학과)
  • Published : 2002.07.31

Abstract

The purpose of this study was to investigate the cognitive differences among the aged who have different living conditions. 91 free-meal receivers and 86 people with stable lives were asked about their living conditions and cognitive function by using K-MMSE. All data were analyzed by SPSS 10.0 package. Free meal receivers had poorer socioeconomic status than the subjects who had stable lives. Cognitive function of free meal receivers was lower than the people with stable lives in the most cognitive factors. Especially age of 50 to 64, pre-aged group, who had been receiving free meals, showed lowest cognitive level than the other age groups. Among 7 cognitive factors, there was the greatest difference in attention and calculation between 2 groups. Percentage of 'conclusive dementia' among the free meal receivers was statistically higher than the people with stable lives and that of 'conclusively normal' was statistically lower in free meal receivers comparing with the people with stable lives. Moreover, socioeconomic factors like income, former job, marital status, housing and education, blood pressure and physical activity were significantly related to the subject's cognitive function.

Keywords

References

  1. Department of Public Health and Welfare, 1999 Yearbook of Public Health and Welfare Statistics, 2000
  2. Statisdc Office, Population and Housing Census, 1970-1990
  3. Korean Institute of Public Health and Society, Investigation and Security of the Income for the Elderly, 2001
  4. OECD,OECD Public Health Statistics, 1998
  5. Department of Public Health and Welfare, Analysis on living subsidy recipients, 1991-1997
  6. Korean Institute of Public Health and Sodety, Analysis on Household Expenditure, 1996
  7. Lee JW, A study on the quality of life of the aged by family type, master's thesis in Public Health, Seoul National University, 1997
  8. Ross C, Wu C. Education, age, and the cumulative advantage in health. J. Health and Sodal Behavior 37: 104-120,1996 https://doi.org/10.2307/2137234
  9. FAO. FAO constitution on the public health, 1948
  10. Min HS. The effects of personal characteristics and metamemory on the old adult's memory performance. Ph.D. thesis in Nuising. Seoul National University, 1999
  11. Kim BJ. The study on health and medical using pattern of the aged in urban poor areas, master's thesis in Public Health. Seoul National Univeisity, 1997
  12. Jeon TH. A study on depression of the aged living in a home for the aged. master's thesis in Public Health. Seoul National University, 1997
  13. Statistical Office, Social Statistics. 1992.1995
  14. Cairney J, Arnold R.. Social class, health and aging : Socio- economic determinants of self-reported morbidity among the non- institutionalized elderly in Canada. Can. J. Pub. Health 87(3): 199-203,1996
  15. Kang HK, Effect of living condition and aging on food intake and coenitive function in Korea, Ph.D thesis, Ewha Womans University, 2001
  16. Folstein MF, Folstein SE. 'Mini-Mental State': a practical method for grading the cognitive state of padents for the clinidan. J. Psychiatr. 12:189-198,1975 https://doi.org/10.1016/0022-3956(75)90026-6
  17. Kwon YC, Park JH. Standardizing study of Koreanized Mini-mental State Examination (MMSE-K) for the elderly. Neuro-psycho Medicine 28(1): 125-135,1989
  18. Park JH, Ko HJ. Diagnostic ability of Koreanized Mini-mental State Examination(MMSE-K) among the elderly, Neuro-psycho Medicine 29(4): 933-941,1990
  19. Kang YU, Na DY, Han SH. Study on the validity of K-MMSE among the patients with dementia. Korean J Neuro Sci 15:300-307,1997
  20. SPSS l0.0 package
  21. Kang HK, Kim SH, Effect of Living Conditions on Food hitakes of the Aged Korean J. Nutr. 35(3): 332-351,2002
  22. Lee GO. Analysis on living situation of the aged and its policy-making. Korean Institute of Public Health and Sodety, 1994
  23. Lee JY. A study on the development of health care program of the aged. master's thesis in Public Health. Seoul National University, 1997
  24. Puggard L, Larsen JB, Ebbesen E, Jeune B. Body composition in 85 year-old women: Effects of increased physical activity. Aging Clin. Exp. Res. 11:307-315,1999 https://doi.org/10.1007/BF03339805
  25. van Sweiten JC. Hypertension in the elderly assodated with white matter lesion and cognitive decline. Ann. Neurol. 30:825-830,1991 https://doi.org/10.1002/ana.410300612
  26. Starr JM, Deary IJ, Inch S, Cross S, MacLennan WJ. Blood pressure and cognitive decline in healthy old people. J. Humn Hypertension 11:777-781,1997 https://doi.org/10.1038/sj.jhh.1000551
  27. Salmon DP, Riekkmen PJ, Katzman R, Zhang M, Jin H, Yu E. Cross-cultural studies of Dementia: A comparison of Mini-Mental State examination Performance in Finland and China. Arch Neurol 46:769-772,2989
  28. Bird HR, Canino G, Stipec MR. Use of Mini-Mental State Examination(MMSE) in a probability sample of a Hispanic population. J Nerv Ment Dis 175:731-737,1987 https://doi.org/10.1097/00005053-198712000-00005
  29. Commenges D, Gagnon M, Letenneur L, Dartigues JF, barberger- Gateau P, Salmon R, Parquid Study Group. Statistical Description of the Mini-Mental State Examination (MMSE) for French Elderly Community Residents. J Nerv Ment Dis 180:28-32,1992 https://doi.org/10.1097/00005053-199201000-00007
  30. Han IW, Seo SH. Memory disorder of patients with dementia. J. Psychophysiol. 4(1): 29-38,1997
  31. Dufoil C, Alperovitch A for the EVA study group. Couple similarities for cognitive functions and psychological health. J. Clin. Epidemiol. 53: 589-593, 2000 https://doi.org/10.1016/S0895-4356(99)00189-4
  32. Tilvis RS, Pitkala KH, Jolkkonen J., Strandberg TE. Sodal networks and dementia. The Lancet 356:76-78,2000 https://doi.org/10.1016/S0140-6736(05)73413-9
  33. White L, Katzman R, Losonczy K, Salive M, Wallace R, Berkman L, Taylor J, Fillenbaum G, Havlik R. Association of education with incidence of cognitive impairment in three established populations for epidemiologic studies of the elderly. J. Clin. Epidemiol. 47(4): 363-374,1994 https://doi.org/10.1016/0895-4356(94)90157-0
  34. Zhang M, Katzman R, Jin H, Cai G, Wang Z, Qu G, Grant I, Yu E, Levy P, Liu WT. The prevalence of dementia and alzheimer's disease(AD) in Shanghai, China. Ann. Neurol. 27:428-437,1990 https://doi.org/10.1002/ana.410270412
  35. van Loon AJM, Goldbohm RA, van den Brandt PA. Limg cancer is there an assodation with sodoeconomic status in the Netherlands?. J. Epidemiol. & Comm. Health 49:65-69,1995 https://doi.org/10.1136/jech.49.1.65
  36. Sands LP, Meredith M. Blood pressure and intellectual functioning in late midlife. J. Gerontology: Psychological Sdences. 47:81-84,1992
  37. Woo JI, Lee JH, Hong JP. Influence of age, sex and education on Koreanized MMSE to the elderly living in the rural area. Neuro-psycho Medicine 35(1):122-132, 1996
  38. Strawbhdge JW, Cohen RD, Shema SJ, Kaplan GA. Successful aging: predictors and associated activities. Am. J. Epidemiol. 144:135-141,1996 https://doi.org/10.1093/oxfordjournals.aje.a008900
  39. Steams SC, Bemard SL, Pasick SB, Schwartz R, Konrad R, Ory MG, DeFiiese GH. The economic implications of self-care: the effect of lifestyle, functional adaptations, and medical self-care among a national sample of medicare beneficiaries. Am. J. Public Health 90:1608-1612,2000 https://doi.org/10.2105/AJPH.90.10.1608
  40. Kramer AF, Hahn S, Cohen NJ, Banich MT, McAuley E, Hanison CR, Chason J, Vakil E, Bardell L, Boaeau RA, Colcombe A. Ageing, fitness and neurocognitive function. Nature 400:418-419.1999 https://doi.org/10.1038/22682
  41. Emery CF, Huppert FA, Schein RL. Relationships among age, exercise, health, and cognitive function in British sample. The Gerontologist 35:378-385,1995 https://doi.org/10.1093/geront/35.3.378
  42. Cahill A, Stabley GJ, Wang X, Hoek JB. Chronic ethanol consumption causes alterations in the structural integrity of mitochondrial DNA in aged rats. Hepatology 30:881-888,1999 https://doi.org/10.1002/hep.510300434
  43. Zhu L, Viitanen M, Guo Z, Winblad B, Fratiglioni L. Blood pressure reduction, cardiovascular diseases, and cognitive decline in the mini-mental state examination in a community population of normal very old people: a three-year follow-up. J. Clin. Epidemiol. 5:383-391,1998 https://doi.org/10.1097/00001648-199405000-00026
  44. Sinclair AJ, Bayer AJ. Cognitive decline in elderly people. J. Human Hypertension 11:761-762,1997 https://doi.org/10.1038/sj.jhh.1000566
  45. Glyinn RJ, Beckett LA, Hebert LE, Morris MC, Scherr PA, Evans DA. Current and remote blood pressure and cognitive decline. JAMA 281:438-445,1999 https://doi.org/10.1001/jama.281.5.438
  46. Tzourio C, Dufouil C, Dudmetiere P, Alperovitch A. Cognitive decline in individuals with high blood pressure: A longitudinal study in the elderly. Neurology 53:1948-1952,1999 https://doi.org/10.1212/WNL.53.9.1948
  47. White H, Pieper C, Schmader K, Fillenbaum G. Wdght change in Alzheimer's disease. J. Am. Geiiatr Soc. 44: 265-272
  48. Farmer ME, White LR, Abbot RD, Kittner SJ, Kaplan E, Wolz MM, Brody JA, Wolf PA. Blood pressure and cognitive performance. Am. J. Epidemiol. 126:1103-1114,1987 https://doi.org/10.1093/oxfordjournals.aje.a114749
  49. Lee HY, Shin SC. Study on the mental disorders of the aged in Kangwha-Do(III). Neuro-psycho Medidne 28:617-631,1989
  50. Tatemichi TK. Dementia after stroke: baseline frequency, risks and clinical features in a hospitalistic cohort. Neurology 42:1185-1191,1992 https://doi.org/10.1212/WNL.42.6.1185